Property | Value |
Name | Hypoglycemia in Diabetes |
Description | Review article:- *Huma Noor1, P. K. Sharma1, V. K. Garg, A. K. Singh1, S. C. Mondal1 1.Meerut Institute of Engineering and Technology, Baghpat Bypass, NH-58, Meerut-250005, Uttar Pradesh, India.
Abstract:- Hypoglycemia, a condition characterized by low blood sugar, is the most feared complication and a fact of life for those patients which are suffering from diabetes mellitus. Hypoglycemia may occur due to a variety of circumstances such as decrease calorie intake due to illness or hospital routine but usually it is iatrogenic. It is mainly responsible for recurrent morbidities in most of the diabetic patients and act as a barrier to maintain euglycemia for the lifetime. Typically it is the result of absolute or relative insulin excess as well as compromised glucose counterregulation in diabetes which provides the ground for long term morbidities like hypoglycemia unawareness; hypoglycemia associated autonomic failure (HAAF), counterregulatory hormonal deficiencies and in rare cases permanent impairment of cognitive functions. The frequency of hypoglycemic episodes further increase when these clinical syndromes segregate together and a vicious cycle of hypoglycemia start. Hypoglycemia may develop in both type of diabetes mellitus but patients having type 2 diabetes are at low risk in comparison to those suffering from type 1 diabetes. Some counterregulatory factors which are important for prevention of hypoglycemia are glucagon, epinephrine, cortisol, growth hormone. It has been observed that glucose counterregulatory mechanism generally remains intact in patients having type 2 diabetes, although it can be more dangerous because they are generally older and may have co morbidities. In this review article, we focus on frequencies of episodes, clinical manifestations, possible pathophysiological mechanisms related with hypoglycemia and also discuss about hypoglycemia associated risk factors, treatment and preventive strategies.
Keywords:- Hypoglycemia, Iatrogenic, Euglycemia, Glucose counterregulation, Hypoglycemia unawareness, Hypoglycemia associated autonomic failure. |
Filename | Noor Huma et.al..pdf |
Filesize | 151.31 kB |
Filetype | pdf (Mime Type: application/pdf) |
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Created On: | 07/17/2011 00:00 |
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Last updated on | 08/13/2011 09:34 |
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